Organization of patient care activities between two or more participants (including the patient) involved in a patient’s care to facilitate the appropriate delivery of health care services
What is Care Coordination?
100
Name 2 "Data Sources/Methods"
What is: Literature databases, Internet searches, and personal contacts to assemble background information on ongoing care coordination programs; potential definitions; conceptual frameworks and related empirical evidence
100
Who funded these studies???
What is:The Commonwealth Fund supported the development of case studies of top performers.
100
Suggested approaches for improving care coordination.
What is: Interventions?
100
What can you do as a nurse to ensure that you are implementing good care coordination?
What is: Assess, Role Identify, Care Plan, Communication, Follow up/Monitor?
200
What's involved in Care Coordination. (Name at least 3)
What is:
ASSESS THE PATIENT;
DEVELOP THE CARE PLAN;
IDENTIFY PARTICIPANTS IN CARE AND SPECIFY ROLES;
COMMUNICATE TO PATIENTS & ALL OTHER PARTICIPANTS
EXECUTE CARE PLAN
MONITOR AND ADJUST CARE
EVALUATE HEALTH OUTCOMES
200
One of the key strategies in accomplishing healthcare improvements.
What is: Care Coordination?
200
What were the 3 disease/conditions used for this study?
What is: Heart Attack, Heart Failure, & Pneumonia.
200
Assessment process of Care Coordination. Name at least 2.
What is: Nurse should: Identify and assess need for coordination services
Identify patients with increased needs for care coordination
Assess medical and social services required for care
200
Provides a list of evidence based practice research articles, results, and interventions including research on Care Coordination
What is: CHAMP?
300
To develop a working definition of care coordination
Apply it to a review of systematic reviews
Identify theoretical frameworks that might predict or explain how care coordination mechanisms are influenced by factors in the health care setting
How do factors/frameworks relate to patient outcomes and health care costs
What is: The Purpose of the Study?
300
Interactions amongst various avenues of care (Acute Vs. Long term)
Primary Vs Public Sector (Medicare and Medicaid)
What is: This project demonstrates the constant need to investigate and/or test interventions to determine effective care.
300
Providing safe, high-quality inpatient care
Promote smooth transitions to follow-up care
Remain the one of the best performing hospitals in the country to achieve exceptionally low readmission rates
What is: The primary goals of the ALL 3 of 4 hospitals.
300
Collaborate with patient to identify specific family members and person’s of importance in regards to care
Collaborate with patient to name a primary clinician for source of care
Identify healthcare team members that will be responsible for coordinating services
Make sure every one understands their distinct role
What is: Role Identification?
300
What resources can you use to get more information about EBP guidelines in regards to care coordination? (Name 2)
Organizing care involves the marshaling of personnel and other resources needed to carry out all required patient care activities.
Often managed by the exchange of information among participants responsible for different aspects of care.
What is: The Definition Care Coordination?
400
Which ONE strategy was repeated throughout ALL 3 studies?
What is: Patient Education and Engagement.
400
Collaborate with patient to identify health care priorities
Coordinate care plans and make sure care plans do not conflict
Develop clear follow up plans
What is: Care Planning?
400
Develops and defines the standards of care that people can expect to receive. These standards will indicate when a clinical treatment (or set of clinical procedures) is considered highly effective, cost effective and safe, as well as being viewed as a positive experience by patients.
What is: NICE?
500
Participation
Coordination
Adequate Knowledge
Exchange of Information
Integration of care activities
What is: The 5 Key Elements of Care Coordination?
500
To improve disease outcomes while containing overall healthcare costs—tend to be consistent across organizations.
What is: The GOAL of many organizations?
500
M.A.W.D.S.
What is: Medications, Activity, Weight, Diet, Symptoms
500
Two forms of communication?
What is: Interpersonal & Information Transfer?
500
What is the MOST cost that is a concern in the Video with Kathleen Sebelius?